Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Bolen, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154160406

Angela Bolen, FNP-C is a Nurse Practitioner in Jackson, Alabama. Qualified in 2024, 2 years ago. Practices with City of Jackson Healthcare Authority, a 16-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

220 Hospital Dr
Jackson, AL 36545-2459
Phone: (251) 246-9021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-102373 (AL)

Record details

NPI number1154160406
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice City Of Jackson Healthcare Authority — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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